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Lang (2000) provides this definition: "A geographic information system (GIS) is a
computer system for analysing and mapping just about anything, moving or
stationary. A GIS integrates common database operations, such as query and
statistical analysis, with the ability to see how data relates in space and time. The
maps produced with a GIS are useful for showing places and the events that occur
there, like outbreaks of disease. They are useful for analysing and visualising any
system that's spatial or spatio-temporal (that also changes with time), for mapping a
patient's heart or brain, for instance, or showing a breakdown of diagnoses on a map
of the body, or even indicating which beds on a hospital floor are occupied, for how
long, and by whom."
GIS is not merely a software package. William Henriques defines GIS as an organised
collection of computer hardware, software, geographic/spatial data, complementary
technologies, and personnel designed to efficiently capture, store, update,
manipulate, analyse, and display all forms of geographically referenced information.
The user becomes part of the GIS whenever complicated analyses, such a spatial
analysis and modelling, are carried out.
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Hall (1999) stresses the point that GIS are much more than simply computer
mapping systems and can do much more than merely outputting improved digital
versions of static, paper-based maps. GIS blend map production, image presentation
and statistical analysis capabilities into a powerful analytical tool that can be applied
to a variety of problems.
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A database table like this one is very difficult to interpret and many
very useful patterns in it might remain hidden and undiscovered.
Today, geographic information systems are commonly used for everything one can
imagine, from basic mapping to supporting resource exploration and development,
from environmental management to the planning and administration of
transportation and telecommunications systems, utility infrastructures, urban
development and land use.
Ten years ago, extensive GIS analysis was limited to Unix computers and command
line software packages, but today's user-friendly Windows-based software and cheap
PCs with powerful Pentium processors and advanced graphics hardware have put
high-end GIS tools within the reach of healthcare professionals.
GIS systems allow medical geographers to collate and analyse internal and/or
external data variables far more readily than is possible with traditional research
techniques. The various types of data referenced spatially in a GIS system are often
referred to as "layers". These layers work much like a set of clear transparent
overlays, laid one on top of the other, and allow the analyst to consider the
relationships between layers which could represent, for example, information
about transportation networks, healthcare facilities, population characteristics,
disease distribution, socio-economic status, and other characteristics.
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For example, if GIS identifies an uneven patterning of disease, with an excess risk of,
say, heart disease in certain areas, healthcare planners will wish to address this
spatial variation, perhaps by targeting resources to try to reduce the elevated rates in
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certain areas. They should also make sure that these resources are accessible by the
population being targeted (i.e., reasonably located in relation to the target
population), and this is another area where GIS can help. Spatio-temporal analysis
and modelling can be also used to monitor (evaluate) the effects of such healthcare
plans when implemented and even to simulate (predict) many "what-if" scenarios
before implementing them. (Gatrell and Senior, 1999)
GIS success in epidemiology and disease outbreak surveillance is well known (WHO).
Also, a growing number of healthcare and pharmaceutical businesses are using GIS
to assess market potential, develop marketing campaigns and identify the best
possible locations for manufacturing facilities and service outlets. (Geomatics Canada
Web Site, 2000)
GIS programs are commonly used outside the health sector to create electronic maps
of road networks for the purpose of improving rush-hour traffic management,
delivery routes and road repair and construction projects. A world-wide market also
exists for integrating GIS and Global Positioning System technology for vehicle
guidance systems. In the context of healthcare, this could mean saving lives if
applied to emergency systems like the UK 999 emergency system. By combining data
on traffic flow at different times of the day with road network information, GIS
applications can be used to give ambulance drivers, fire-fighters and police the
quickest possible route to accidents and other emergency situations. (Geomatics
Canada Web Site, 2000)
See also:Part 4: Some Applications of Geomatics in the Health Sector and Three
views of GIS
Health Geomatics
2000-2002 MIM Centre, School of Informatics
City University, London, UK
All Rights Reserved.
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